Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09816 | Date 08/07/2021 |
| Token No | SM/21-22/2986 08/07/2021 | Serial | 008 Last Visit: 18/08/2021 |
| Patient Name | Mrs. PRIYA GHOSH | Contact No | 8017569763 |
| Address | 7 UPPER STAND ROAD,SERAMPORE | Age | 25 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||